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Wisconsin rates for HCPCS 21248

Reconstruction of mandible or maxilla, endosteal implant (eg, blade, cylinder); partial

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$783.80 / $975.97 / $3,875.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$992.93 / $1,806.20 / $5,156.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,234.25 / $2,895.70 / $4,514.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,103.40 / $2,302.29 / $10,316.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.42 / $587.37 / $1,911.30
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,752.99 / $2,353.03 / $3,376.76
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,669.80 / $4,182.30 / $10,316.10
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,479.44 / $5,091.84 / $6,322.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,093.33 / $2,046.30 / $4,564.06